Hyperplasia ntawm lub tsho me nyuam thaum lub sij hawm cev xeeb tub

Tsev me nyuam - ib ntus hloov khoom nruab nrog uas yog tsim nyob rau hauv lub cev thaum lub sij hawm cev xeeb tub. Lub hom phiaj yooj yooj yim - mus kom ib tug muaj kev vam meej hnub thiab me nyuam hauv plab kev loj hlob.

placental muaj nuj nqi

Lub tsev me nyuam yog tsim nyob rau hauv tus poj niam lub cev kom txog thaum lub 16th lub lim tiam ntawm cev xeeb tub, muab hais tias tag nrho cov mus zoo. Nyob rau hauv lub tsev me nyuam yog tsau fertilized qe, uas muab ib lub teeb liab mus rau lub kev loj hlob ntawm lub tsho me nyuam. Nws ua ib tug heev ib qho tseem ceeb muaj nuj nqi: nws muab ib tug yav tom ntej tus me nyuam txoj cai npaum li cas uas pab tau thiab as-ham, thiab kuj thauj oxygen mus rau nws.

Nyob rau ultrasonic xeem yuav txiav txim seb lub thickness ntawm no tseem ceeb heev hloov khoom nruab nrog, thiab ces yooj yim tsom xam seb nws cov hom phiaj yog ua nyob rau hauv nws txoj kev paub.

Yuav ua li cas yog hyperplasia?

Hyperplasia ntawm lub tsho me nyuam hu ua ntev thooj ntawm nws thaum nws tsis tau raws li cov qauv kev loj hlob. Qhov no txhais tau tias nyob rau hauv ib tug poj niam, muaj ib co kab mob. Analysis ntawm placental thickness yog advantageously nqa tawm pib los ntawm lub 20th lub lim tiam ntawm cev xeeb tub.

Yuav ua li cas yog lub cev thickness? Nyob rau lub caij uas cev xeeb tub yog determined thiab lub thickness nyob rau hauv millimeters ntawm lub tsho me nyuam. Uas yog hais txog ntau li ntau millimeters yuav tsum muaj ntau hnov lub sij hawm uas cev xeeb tub.

Lub degree ntawm kom loj hlob ntawm lub tsho me nyuam

Ncov embryonic hloov khoom nruab nrog txoj kev loj hlob lees paub rau 37 lub lim tiam. Nws ib txwm thickness ntawm lub sij hawm no yuav tsum tau 33,7 hli. Tom qab uas lub tsho me nyuam yog tsis muaj ntev zuj zus, thiab txawm tsawg me ntsis. Yuav kom tawm nws ib txwm thickness yuav npaum li cas los 33,2 hli.

Nyob rau hauv no hais txog, muaj tsib degrees ntawm me nyuam hauv plab hloov khoom nruab nrog kom loj hlob. Xoom degrees yog suav tias yog lub tsev me nyuam tuab txog li 30 lub lis piam uas cev xeeb tub, cov thawj degree ntawm kom loj hlob - 34-36 lub lis piam, nrog uas twb muaj lawm pathology - 27-28 lub lis piam, tus thib ob degree - 34-38 lub lis piam, peb degree - 38 lub lis piam. Plaub degree ntawm kom loj hlob yog hais tias yuav lub xeev ntawm no tseem ceeb heev lub cev cia li ua ntej lub hnub yug. Thaum lub sij hawm no lub sij hawm, nws laus pib.

Nyob rau hauv tej rooj plaub, lub tsho me nyuam tej zaum yuav yuag heev. Qhov no mob yog tseem yog ib tug pathology, tab sis tsis raws li txaus ntshai raws li hyperplasia. Feem ntau pom nyob rau hauv ntshiv thiab petite cov poj niam.

Thaum cov feem ntau pom hyperplasia ntawm lub tsho me nyuam thaum lub sij hawm cev xeeb tub? 20 lub lis piam - ib tug tseem ceeb lub sij hawm.

Maximum txoj kev loj hlob ntawm lub tsho me nyuam tshwm sim precisely nyob rau hauv lub xeem 20 lub lis piam. Nws thickness feem ntau yog ntsuas ntawm tus taw tes qhov twg lub qaum hniav rau nws. Ntawm cov hoob kawm, cov kev ntsuas ntawm qhov luaj li cas yuav tsum coj mus rau hauv tus account tus neeg yam ntxwv ntawm cov poj niam. Yog hais tias muaj yog hloov nyob rau hauv lub thickness ntawm lub tsho me nyuam, uas tej zaum yuav fraught nrog tsis kaj siab qhov yuav tshwm rau lub fetus. Thaum hyperplasia me nyuam hauv plab lub cev nyeem tas nyob rau hauv tej rooj plaub mus txog 60 hli.

Yuav ua li cas yog lub ntsiab ua rau hyperplasia ntawm lub tsho me nyuam?

Muaj tej yam tseem ceeb uas yuav ua rau muaj mob hyperplasia. Cia peb xav txog lawv nyob rau hauv ntau yam:

• Soj ntsuam thiab me nyuam hauv plab niam incompatibility ntawm cov ntshav (v-teeb meem los yog cov ntshav pab pawg neeg incompatibility). Nyob rau hauv cov ntaub ntawv no, feem ntau yuav tsum tau intrauterine transfusion.
• Tshuaj ntsuam genetic change.
• Txoj kev loj hlob ntawm mob kis kab mob. Tej zaum koj yuav tau antiviral txoj kev kho.
• Hemoglobin nyob rau hauv cov ntshav ho tsis, tsim hlau tsis muaj peev xwm anemia. Nws yuav tsum tau ua rau kom nws theem. Qhov no yuav ua tau nrog tshwj xeeb npaj ntawm hlau.
• Nce cov ntshav qab zib, ua rau cov ntshav qab zib. Nws yuav tsum tau ceev faj tswj ntawm qab zib, thaum ua nws yuav tsum tau txo.
• Raws li ib tug tshwm sim ntawm tus kab mob qhov chaw mos mob (Ureaplasma, kis, syphilis, mycoplasma, chlamydia, gonorrhea).

Nyob rau hauv kev twb kev txuas nrog cov pathological tej yam kev mob manifested hyperplasia tsev me nyuam. Yuav ua li cas txaus ntshai yog nws? Qhov no yuav tsum tau tham hauv qab no.

Nyob rau hauv thaum ntxov ua sawv (1 thiab 2 trimesters) thooj feem ntau tshwm sim vim kis kab mob. Yog li ntawd, lub cev nws mus tiv thaiv nws tus kheej fetus.

Hemolytic kab mob ntawm lub fetus yog feem ntau ntes tau los ntawm lub thickness ntawm lub tsho me nyuam. Tej zaum txawv txav loj hlob ntawm cov hlab ntsha thaum cov ntshav ncig yog tsim tsev me nyuam thiab me nyuam hauv plab.

Nyob rau hauv tsawg tus neeg mob, cov kws kho mob tsis muaj peev xwm to taub yog vim li cas yog vim li cas qhov no tseem ceeb heev lub cev thickens.

Tej yam tshwm sim ntawm thooj ntawm lub tsho me nyuam

Yuav ua li cas yog hyperplasia ntawm lub tsho me nyuam, peb to taub. Tab sis li cas yog cov tsos mob ntawm tus kab mob no?

Nyob rau me me theem ntawm cev xeeb tub lub tsho me nyuam tej zaum yuav kuj ua rau kom. Qhov no yuav tsuas yuav txiav txim los ntawm kev tshwm sim ntawm US. Tsis muaj lwm yam mob, sib tham txog txoj kev loj hlob ntawm tus kab mob no tsis muaj.

Thaum lub sij hawm no twb yog heev siab heev, muaj tej yam hyperplasia cov tsos mob:

• Cov hloov qhov ntawm me nyuam hauv plab taw. Nws yuav pib txav heev active los yog, conversely, ua ib yam nkaus thiab so.
• lub plawv dhia ntawm lub fetus kuj qeeb los yog, conversely, leeb (raws li manifested tachycardia los yog bradycardia), tab sis qhov no cov tsos mob yuav txiav txim seb qhov cardiotocography. Nyob rau hauv me nyuam hauv plab lub plawv dhia yog dab tsi - 140-160 yeej ib feeb. Yog hais tias muaj yog qhov zaus hopping yeej los ntawm acceleration rau deceleration, qhov no qhia hais tias tus me nyuam hauv plab yog muaj oxygen deprivation (hypoxia).

Yog hais tias ib tug poj niam muaj ntshav qab zib, lub hyperplasia npaj polyhydramnios los yog ib tug ntau npaum li cas ntawm amniotic kua. Nyob rau hauv cev xeeb tub cov poj niam nrhiav hyperglycemia, insulin ntau zog synthesis manifests pauv acidosis.

Yog hais tias tsis kom sai pom hyperplasia ntawm lub tsho me nyuam, cov me nyuam hauv plab muaj ib tug loj mob nyob rau hauv uas nws yuav poob raws li ib tug tshwm sim ntawm txawj rho menyuam.

txoj kev mob

Raws li twb hais saum toj no, los mus txiav txim lub thooj ntawm cov embryonic lub cev yog tau tsuas yog nyob rau ultrasound.

Tab sis kom paub tias cov ua hyperplasia, ntxiv kev ntsuam xyuas thiab kuaj expectant niam:

• tsom xam ntawm cov ntshav biochemistry;
• CTG nqa lub fetus;
• urinalysis;
• tiav cov ntshav count;
• kev ntsuam xyuas rau kev sib deev kis kab mob, xws li tej zaum yuav tsum tau qhia teeb-kab mob;
• txiav txim nyob rau hauv cov ntshav ntawm tshuaj mus rau ntau yam kab mob thiab cov kab mob;
• doppler;
• noj gynecological smear los mus txiav txim lub pathogenic microflora.

hyperplasia kev kho mob

Yog li ntawd, tag nrho cov tsim nyog kev ntsuam xyuas tau hais txog, cov kev tshawb fawb ua. Ces qhia hyperplasia ntawm lub tsho me nyuam thiab nws ua. Tos niam yuav tsum tau pw tsev kho mob, yog hais tias qhov no pathology muaj feem xyuam rau cov intrauterine txoj kev loj hlob ntawm lub fetus. Tau txais cov kev kho mob poj niam nyob rau hauv lub tsev kho mob.

tsev me nyuam thickness yuav tswj los ntawm txoj kev tshwj xeeb cov tshuaj. lawv kuj muab ib tug zoo kev nyob rau hauv lub me nyuam hauv plab kabmob. Nws yog tsim nyog yuav tshuaj uas yuav pab tau cov ntshav thinning.

Oxygenation ntawm lub fetus thiab lub tsev me nyuam no kuj muaj tshwj xeeb cov tshuaj. Qhov tseem ceeb phospholipids pab lub hlwb tsis cev qhuav dej, vim hais tias lawv muaj zoo lub tsev zog.

Tom qab tag nrho, nws yog tsis tshua muaj txaus ntshai hyperplasia ntawm lub tsho me nyuam. Kev kho mob tsis xaus muaj.

Yuav ua li cas txoj kev kho mob yog siv ntau?

Tsis tas li ntawd ib tus zuj zus yuav siv tau:

• Vitamin txoj kev kho. Tos niam yuav tsum siab noj, tab sis tej zaum qhov no yog tsis txaus. Tom qab tag nrho, tus me nyuam xav tau ib tug ntau ntawm cov as-ham thiab vitamins. Ua li no, thiab cob lawv mus rau lub txais tos los ntawm cov sab nraum.
• Kev kho mob ntawm cov kab mob thiab kab mob. Qhov no yog tsim nyog yog hais tias tus hyperplasia tshwm sim los ntawm lawv.
• Kev kho mob ntawm preeclampsia nyob rau hauv lub tom qab ua sawv. Preeclampsia general xwb yog heev txaus ntshai, tshwj xeeb tshaj yog yog hais ua ke nrog ib tug thooj ntawm qhov tseem ceeb embryonic hloov khoom nruab nrog, lub tsho me nyuam.
• Intrauterine ntshav ntawm incompatible ntshav ntawm lub fetus thiab leej niam.
• Normalization nyob rau hauv cov ntshav qab zib theem. Qhov no yog tsim nyog thaum ua kom hyperplasia ntawm lub tsho me nyuam tau ua xws li ib tug kab mob loj, xws li mob ntshav qab zib.

Thaum tsis tau kev kho mob hyperplasia? Yog hais tias lub tsho me nyuam yog me ntsis nyeem tas, lub fetus npaj, thiab tag nrho cov indicators muaj nyob rau hauv ib txwm txwv, ces muaj yog tsis muaj yuav tsum tau kev kho mob.

Yog hais tias muaj yog ib tug incompatibility ntawm cov ntshav ntawm leej niam thiab tus me nyuam, ib tug cev xeeb tub, feem ntau yuav, koj yuav tsum tau yuav tu ncua. Tab sis nyob rau hauv cov ntaub ntawv no, yuav pab tau intrauterine transfusion. Yuav kom hnub no yog tib txoj kev mus kho tus kab mob no.

Nrog mob loj heev hlau tsis muaj peev xwm anemia tshuaj noj cov zaub mov enriched zaub mov nrog ib tug high school cov hlau cov ntsiab lus. Tab sis noj cov zaub mov nyob ib leeg yog tsis txaus. Ces siv cov tshuaj uas muaj ferrous hlau thiab vitamin C.

Hyperplasia ntawm lub tsho me nyuam: siv rau

Yuav ua li cas yog lub ntsiab kev txaus ntshai ntawm tus kab mob no? Nyob rau qhov no tom qab.

Muaj tej yam yuav tshwm thooj ntawm lub tsho me nyuam. Ntawm no yog ib co ntawm lawv:

• Qhov no pathology yuav ua placental insufficiency. Raws li ib tug tshwm sim, yav tom ntej tus me nyuam tej zaum yuav tsis muaj ntau yam as-ham, thiab vim muaj ib tug tsis txaus mov ntawm oxygen yuav tshwm sim me nyuam hauv plab hypoxia.
• Tej yam zoo qeeb-Natal txoj kev loj hlob, thiab muaj ib tug tsis zoo feem nyob rau cov txheej txheem ntawm txoj hauj lwm.
• Hyperplasia ntawm lub tsho me nyuam thaum lub sij hawm cev xeeb tub ua rau mob me nyuam hauv plab hypoxia, uas kuj yog ib tug phem cawv rau nws txoj kev loj hlob.
• Fetus yuav tuag nyob rau hauv utero.
• Amniotic kua tej zaum yuav hloov nyob rau hauv volume (nws yuav coj mus polyhydramnios los yog oligohydramnios).
• Cev xeeb tub tej zaum yuav prematurely.

tswv yim pom zoo

Tos niam yuav tsum tau sau npe nyob rau hauv lub antenatal lub tsev kho mob raws sij hawm kev tshawb nrhiav ntau yam hloov los ntawm lub cai. Txij li thaum lub expectant niam nws tus kheej yog tsis muaj peev xwm txheeb xyuas txog tej kev muaj mob muaj nkees pathology.

Yog hais tias tus mob ntawm ib tug kws kho mob, koj yuav tsum nco ntsoov ua raws li nrog tag nrho nws cov tswv yim. Xwb, nws tej zaum yuav heev txaus ntshai hyperplasia ntawm lub tsho me nyuam thaum lub sij hawm cev xeeb tub. Kev kho mob yuav tsum tau qhia ntawv thiab raws sij hawm. Yog hais tias ib tug poj niam yog qhia tau nyob rau hauv lub tsev kho mob, nws yuav tsum tau mloog zoo li cas rau tus kws kho mob qhia nws.

Therapy yog feem ntau aimed ntawm lub neej yav tom ntej rau tag nrho tsim tus me nyuam. Nyob rau hauv thiaj li yuav muaj ib tug zoo siab xaus cev xeeb tub thiab ib tug noj qab nyob zoo tus me nyuam, yuav tsum tau nrhiav kom paub tias vim li cas yog vim li cas muaj ib tug pathology ntawm lub tsho me nyuam.

xaus

Qhov zoo tshaj plaws kev tiv thaiv kev mob ua pathologies yog ceev faj npaj rau cev xeeb tub. Ua ntej conceiving lub cev yuav tsum tau npaj kom txhij rau kev coj tus kheej ib tug me nyuam. Ua li no, dhau kev ntsuam xyuas rau tag nrho cov hom ntawm kev sib deev mob, kis tau ib tug kev soj ntsuam, los txheeb xyuas cov teeb meem uas muaj kev noj qab nyob. Yog hais tias pom tej kab mob, lawv yuav tsum tau kho ua ntej cev xeeb tub. Tom qab tag nrho, lub neej yav tom ntej leej niam yog txhob noj tshuaj kom tsawg. Kev xeem, thiab yog hais tias tsim nyog, kev kho mob, koj yuav tsum mus thiab tus txiv neej uas yuav tsum tau muab kev koom tes nyob rau hauv tus txheej txheem ntawm conception.

Peb rov los xyuas dua cov hyperplasia ntawm lub tsho me nyuam thaum lub sij hawm cev xeeb tub.